Package: 10 ampoules (250mg/ml 1 ml)

Active Substance: Testosterone Mix

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Sustandrol, produced by Balkan Pharmaceuticals, is a popular injectable anabolic steroid that contains a blend of testosterone esters. This mix of ethers of testosterone is designed to provide a sustained release of testosterone, making it a favored choice among bodybuilders, athletes, and individuals undergoing testosterone replacement therapy (TRT). In this comprehensive guide, we will explore Sustandrol in detail, covering its indications, contraindications, administration, medical action, precautions, side effects, overdosage, and conclusion.


Sustandrol is primarily indicated for the treatment of hypogonadism in men, a condition characterized by low levels of testosterone. Hypogonadism can result in symptoms such as fatigue, depression, decreased libido, and loss of muscle mass. By supplementing testosterone levels, Sustandrol helps alleviate these symptoms and improves overall quality of life.

In addition to its medical use, Sustandrol is widely utilized in the bodybuilding and athletic communities. It is known for its ability to promote muscle growth, enhance strength, and improve physical performance. Athletes often use Sustandrol during bulking cycles to build muscle mass and increase muscle density.


Sustandrol should not be used by individuals with the following conditions:

  • Known hypersensitivity to testosterone or any of its ingredients
  • Prostate cancer or male breast cancer
  • Severe liver or kidney disease
  • Severe heart conditions, including heart disease or stroke
  • Women who are pregnant or breastfeeding

Patients with a history of liver tumors or severe cholesterol problems should avoid using Sustandrol due to its potential to exacerbate these conditions.


Sustandrol is administered through intramuscular injection. For medical purposes, the typical dosage ranges from 250 mg to 500 mg every two to four weeks, depending on the severity of the condition being treated. For performance enhancement, bodybuilders and athletes commonly use doses of 250 mg to 1000 mg per week. The drug is usually taken in cycles lasting eight to twelve weeks to maximize benefits and minimize side effects.

It is essential to follow the prescribed dosage and administration guidelines provided by a healthcare professional. Misuse or abuse of Sustandrol can lead to serious health complications.

Medical Action

Sustandrol contains a blend of four testosterone esters: testosterone propionate, testosterone phenylpropionate, testosterone isocaproate, and testosterone decanoate. This combination provides a sustained release of testosterone into the bloodstream, maintaining stable testosterone levels over an extended period.

The different esters have varying half-lives, allowing for both immediate and prolonged effects. This results in a rapid increase in testosterone levels followed by a steady release, reducing the need for frequent injections. The anabolic effects of Sustandrol include increased protein synthesis, nitrogen retention, and red blood cell production, all of which contribute to muscle growth, enhanced strength, and improved recovery times.


Before using Sustandrol, it is crucial to take certain precautions:

  • Undergo a thorough medical evaluation to determine if you have any underlying conditions that could be worsened by anabolic steroid use.
  • Inform your healthcare provider of any medications you are currently taking, as testosterone can interact with other drugs.
  • Regularly monitor liver function, cholesterol levels, and blood pressure while using Sustandrol.
  • Be aware of the potential for increased aggression, mood swings, and behavioral changes.
  • Avoid using alcohol or other hepatotoxic substances during the cycle to minimize liver strain.

Side Effects

Like all anabolic steroids, Sustandrol can cause side effects. Some of the most common side effects include:

  • Acne and oily skin
  • Hair loss on the scalp and increased body hair growth
  • Mood swings, irritability, and aggression
  • Sleep disturbances and insomnia
  • Suppression of natural testosterone production, leading to testicular atrophy and reduced sperm count

Long-term use of Sustandrol can result in more severe side effects, such as:

  • Liver toxicity, although it is less hepatotoxic compared to oral anabolic steroids
  • Gynecomastia (development of breast tissue in men) due to estrogen conversion
  • Cardiovascular issues, including hypertension and increased risk of heart disease
  • Negative impact on cholesterol levels, with a decrease in HDL (good cholesterol) and an increase in LDL (bad cholesterol)

Women using Sustandrol may experience virilization symptoms, such as deepening of the voice, menstrual irregularities, and enlargement of the clitoris.


An overdose of Sustandrol can lead to severe complications. Symptoms of an overdose may include:

  • Extreme irritability and aggression
  • Severe liver damage, evidenced by jaundice and elevated liver enzymes
  • Fluid retention and swelling
  • Hypertension
  • Severe cardiovascular issues

If you suspect an overdose, seek immediate medical attention. Treatment typically involves discontinuing the drug and providing supportive care to manage symptoms.


Sustandrol from Balkan Pharmaceuticals, also known as a mix of ethers of testosterone, is a powerful and effective anabolic steroid that offers significant benefits for both medical and performance-enhancing purposes. Its ability to restore testosterone levels makes it effective in treating conditions like hypogonadism and other testosterone deficiencies.

For athletes and bodybuilders, Sustandrol is a valuable tool during bulking cycles, helping to build muscle mass and improve overall strength. Its blend of testosterone esters provides both immediate and sustained effects, reducing the need for frequent injections and maintaining stable testosterone levels.

However, Sustandrol is a potent drug with potential side effects and risks. It is crucial to use this medication responsibly and under the guidance of a healthcare professional. Adhering to prescribed dosages, monitoring for side effects, and taking necessary precautions can help minimize risks and maximize benefits.

Always consult with a healthcare provider before starting any new medication or performance-enhancing regimen to ensure safety and effectiveness. With responsible use, Sustandrol can be an effective tool for achieving medical and fitness goals.


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